Assessment of Clinical Symptoms and Multichannel Intraluminal Impedance and pH Monitoring in Children After Thoracoscopic Repair of Esophageal Atresia and Distal Tracheoesophageal Fistula

Assessment of Clinical Symptoms and Multichannel Intraluminal Impedance and pH Monitoring in Children After Thoracoscopic Repair of Esophageal Atresia and Distal Tracheoesophageal Fistula.

BACKGROUND Motility disturbances of the esophagus and gastroesophageal reflux disease (GERD) are observed frequently in children after repair of congenital esophageal atresia with distal tracheoesophageal fistula (EA/TEF). Recently, in many pediatric surgical centers, thoracoscopic repair was introduced, which theoretically would change the postoperative course. OBJECTIVES The goal of the stu...

Feasibility of thoracoscopic repair of esophageal atresia with distal fistula.

BACKGROUND/PURPOSE Evaluation of the feasibility of thoracoscopic correction of esophageal atresia with distal fistula. METHODS Eight consecutive neonates with esophageal atresia and distal fistula were treated thoracoscopically. Mean birth weight was 3,048 g (range, 2,140 to 3,770). The patients were intubated endotracheally and placed in a 3/4 left prone position. Three cannulae were insert...

Thoracoscopic repair of esophageal atresia and tracheo-esophageal fistula.

Advancements in minimally invasive surgical techniques and instruments for neonates have allowed even the most complex neonatal procedures to be approached endoscopically. In 1998 the first successful thoracoscopic repair of an esophageal atresia was performed in a 2-month-old infant. One year later the first totally thoracoscopic repair of an atresia with distal fistula was realized. Over the ...

Tracheoesophageal Fistula and Esophageal Atresia

Incidence The incidence of congenital tracheoesophageal malformations in the U.S. is approximately one in every 4,500 births. In some areas of the world (i.e., Finland), the incidence may be as high as one in 2,440 births. Tracheoesophageal fistula and esophageal atresia affects males slightly more commonly than females (1.26:1). Although most cases of tracheoesophageal anomalies are sporadic, ...

MULTICHANNEL INTRALUMINAL IMPEDANCE AND pH.